Individual
HEATHER ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21370 SW LANGER FARMS PKWY STE 138, SHERWOOD, OR 97140-9140
(503) 625-6247
Mailing address
21370 SW LANGER FARMS PKWY, SHERWOOD, OR 97140-9137
(503) 625-6247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1978
OR
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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